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This study aimed to investigate the prevalence and clinical correlates of FA in a sample of 141 Italian adult inpatients diagnosed with eating disorders (ED). Participants completed standardized self-report instruments assessing FA (YFAS 2.0), binge-eating behaviours (BES), ED-related psychopathology (EDI-3), body image distress (BUT), and general psychological symptoms (SCL-90) at admission (T0) and discharge (T1) from a multidisciplinary ED rehabilitation program. FA showed a high prevalence (85.6%), with more than half of the participants (51.1%) classified as severe. YFAS 2.0 scores were significantly higher among patients with binge eating disorder (BED) and bulimia nervosa (BN). FA severity was strongly associated with bulimic and binge-eating symptoms and interoceptive deficits, but not with body dissatisfaction. Regression analyses indicated that FA at admission was significantly associated with the severity of bulimic and binge-eating symptoms, independently of age, BMI, and illness duration. Overall, findings suggest that FA may reflect a dimensional feature associated with symptom severity across eating disorders, particularly in binge-spectrum presentations. Routine assessment of FA could therefore serve as a potentially useful clinical indicator and guide personalized interventions aimed at reducing compulsive eating behaviours and preventing relapse.<\/jats:p>","DOI":"10.1007\/s40519-026-01861-5","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T16:04:49Z","timestamp":1777737889000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Food addiction as a transdiagnostic feature associated with binge-eating symptoms in eating disorders: prevalence and rehabilitation outcomes in an Italian inpatient population"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6742-8541","authenticated-orcid":false,"given":"Margherita","family":"Boltri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Letizia","family":"Oprandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvamaria","family":"Mastrocola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Cera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Brusa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Gabutti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Villa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Manzo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Scalia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Apicella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Savino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Castelnuovo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Mendolicchio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"issue":"13","key":"1861_CR1","doi-asserted-by":"publisher","first-page":"2506","DOI":"10.1038\/s41386-018-0203-9","volume":"43","author":"PC Fletcher","year":"2018","unstructured":"Fletcher PC, Kenny PJ (2018) Food addiction: a valid concept? 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